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Colin West Profile picture
@ColinWestMDPhD
Mar 29 • 16 tweets • 7 min read Twitter logo Read on Twitter
1/ Welcome to Edition 142 of West’s Well-Being Wednesday! Today, a review of threads and content from March 2022. #wellbeingwednesday #wellbeing #burnout #medtwitter #meded
2/ From March 2, a thread on our 2020 burnout update toward the end of the first year of the pandemic.
3/ Burnout … improved?
4/ Potential explanations begin here.
5/ From March 9, a thread on the costs of burnout in healthcare, especially relating to primary care physician turnover.
6/ Maybe this seems trivial against total healthcare costs (a reviewer actually said that 🤷), but this seems like real money to me.
7/ An evergreen tweet
8/ From March 16, a thread on a podcast I did @ResetMDPodcast with @marionmccrarymd
9/ A take-home pearl
10/ From March 23, a replay of a thread on nurse burnout. Medicine is a team sport, and we’re all in this together.
11/ This tweet is supported by the recent publication on fairly early pandemic data, from @LisaRotenstein @ChristineSinsky et al. (link in next tweet).
12/ In @JournalGIM,
link.springer.com/article/10.100…
13/ From March 30, a replay of a thread on burnout and racial bias.
14/ Physicians experiencing burnout have a harder time being their best selves.
15/ Recovery from burnout can improve other parameters as well, though – a hopeful result!
16/ That’ll do it for March 2022’s retrospective. I’ll be back next week with more well-being content. /fin

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More from @ColinWestMDPhD

Colin West Profile picture
Oct 19, 2022
1/ Welcome to Edition 119 of West’s Well-Being Wednesday! Today: a review of threads and content from October 2021. #wellbeingwednesday #wellbeing #burnout #medtwitter #meded
2/ From October 6, a brief thread on speakers at the #ACPH21 meeting, including @PresCoreyDLBHF @Surgeon_General @vivek_murthy @JillianHortonMD. Quite prescient for current impact, no?
3/ Look for more excellent speakers on the vanguard of physician #wellbeing at #ACPH23 in Palm Desert, California October 11-13, 2023. Bookmark this link and add to your calendars because this meeting fills up fast once registration opens!
physician-wellbeing-conference.org
Read 8 tweets
Colin West Profile picture
Oct 11, 2022
1/ More on the colonoscopy trial: for those interpreting this as evidence that colonoscopy screening doesn’t work, read the protocol:
thieme-connect.com/products/ejour…
2/ If you think this was a sound screening recruitment strategy, well, you have a different understanding of public health, primary care, and shared decision-making in medical practice than I do. Read on …
3/ From the protocol:
“Each individual in the screening group receives an invitation letter with the appointment date and time for a colonoscopy at the corresponding participating center.”
Read 11 tweets
Colin West Profile picture
Oct 11, 2022
1/ The colonoscopy trial reported in @NEJM is being widely reported as suggesting that colonoscopy is not effective for colon cancer screening. This is not the correct interpretation of these results. #EBM #evidencebasedmedicine #epitwitter
nejm.org/doi/full/10.10…
2/ This study’s results do not demonstrate that colonoscopy is effective, but also do not demonstrate that it is ineffective. Why? Because only 42% of those in the screening arm actually had a colonoscopy!
3/ What *does* this study show? Only that a screening program involving an invitation to get a one-time colonoscopy modestly reduced colon cancer cases but did not reduce colon cancer deaths or overall mortality at a median of 10 years of follow-up.
Read 15 tweets
Colin West Profile picture
Apr 7, 2022
1/ Welcome to another edition of West’s Well-Being Wednesday! Today as #SGIM22 begins: a 🧵 on language, respect in medicine, and how this relates to #burnout and #wellbeing. #wellbeingwednesday #medtwitter #meded (reposting due to upload errors yesterday, my apologies)
2/ Last week I tweeted about this paper @MayoProceedings:
Physician Identification Badges: A Multispecialty Quality Improvement Study to Address Professional Misidentification and Bias mayoclinicproceedings.org/article/S0025-…
3/ Role identification is an issue especially affecting women and URiM physicians, and can be an important reflection of workplace bias. Clear badging can help!
Read 25 tweets
Colin West Profile picture
Jul 7, 2021
1/ Welcome to another edition of West’s Well-Being Wednesday! As a reminder, I’ll briefly highlight papers, topics, questions, etc. related to healthcare professional #wellbeing, with a new 🧵 each week. #wellbeingwednesday #burnout #medtwitter #meded
2/ To start Year 2, I’ll link to the threads from July 2020.
First, from July 15, a thread on #burnout history back to Freudenberger.
3/ Of particular importance,
Read 9 tweets
Colin West Profile picture
Dec 30, 2020
1/ Welcome to another edition of West’s Well-Being Wednesday! As a reminder, I’ll briefly highlight papers, topics, questions, etc. related to healthcare professional #wellbeing, with a new entry each week. #wellbeingwednesday #burnout #MedTwitter
2/ This week we’ll touch on the association of racial bias and burnout, prompted by @FutureDocs thread last week reflecting on #DrSusanMoore and so many other victims of systematic disparities and racism.
3/ As a biostatistician, I think it’s interesting that in statistics “bias” is defined as a systematic error or deviation from the truth. This is worth reflecting upon as we debate whether racism and other biases are inherent in our systems – by definition, bias is systematic!
Read 20 tweets

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